Makenzie Cowan

Individual provider Active NPI Behavior Technician · Indianapolis, IN

NPI 1174460372 · NPPES record last updated May 4, 2026

Key facts

NPI
1174460372
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone
(855) 324-0885
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Mailing address

21 S Park Blvd Ste 21
Greenwood, IN 46143-8838
Phone (317) 449-2104

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.